Organization Active NPI

Elliot-Bearce Associates CSW PC

  • Clinical Social Worker
  • Saratoga Springs, NY
National Provider Identifier
1437227105
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R030925-1 Issued in NY
Legal business name
ELLIOT-BEARCE ASSOCIATES CSW PC
Practice address
409 Maple Ave
Saratoga Springs, NY 12866-5502
Phone
(518) 584-0990
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Charles G Bearce, LCSW
Title
Vice-President
Phone
(518) 893-7438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R030925-1 NY Primary

Addresses

Primary practice location

409 Maple Ave
Saratoga Springs, NY 12866-5502

Mailing address

103 Squashville Rd
Greenfield Center, NY 12833-1012
Phone (518) 893-7438

National Provider Directory

National Provider Directory

Locations

498 Glen St
Glens Falls, NY 12801
Phone (518) 480-7151

409 Maple Ave
Saratoga Springs, NY 12866
Phone (518) 584-0990

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1437227105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SQUASHVILLE RD",
            "city": "GREENFIELD CENTER",
            "state": "NY",
            "postal_code": "128331012",
            "telephone_number": "518-893-7438",
            "fax_number": "518-893-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MAPLE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665502",
            "telephone_number": "518-584-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT-BEARCE ASSOCIATES CSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "BEARCE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "518-893-7438",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R030925-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.